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Factors and Interventions Influencing Nurses Caring Behavior: A Systematic Review Zulkifli Zakaria; Vivi Yosafianti Pohan; Tri Hartiti
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47771

Abstract

Abstrak Perilaku caring berperan langsung dalam meningkatkan kualitas pelayanan dan kepuasan pasien. Caring behavior perawat dipengaruhi oleh berbagai faktor internal dan eksternal, serta dapat ditingkatkan melalui pelatihan berbasis teori. Oleh karena itu, diperlukan kajian sistematik untuk mengevaluasi faktor yang memengaruhi perilaku caring serta intervensi yang efektif. Systematic review ini disusun mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Pencarian artikel melalui database Google Scholar, ProQuest, PubMed, ScienceDirect, dan SpringerLink dalam rentang tahun 2018 hingga 2025. Kata kunci yang digunakan antara lain: "nurse caring behavior" AND "factors" OR "interventions" OR "training" OR "Watson's theory". Sebanyak 11 artikel memenuhi kriteria inklusi dan dianalisis. Hasil review menunjukkan bahwa perilaku caring perawat dipengaruhi oleh faktor demografis (usia, jenis kelamin, pengalaman kerja), karakter personal (spiritualitas, sensitivitas etis), dan faktor lingkungan (lingkungan kerja, beban kerja, dukungan organisasi, serta kepuasan kerja). Beberapa intervensi yang terbukti efektif meliputi pelatihan berbasis Watson’s Theory of Human Caring, program etika keperawatan, pelatihan kepemimpinan berbasis kecerdasan emosional, serta program mentoring. Kesimpulannya, intervensi tersebut memberikan dampak positif yang signifikan terhadap peningkatan skor perilaku caring perawat. Kata Kunci: Perilaku caring, perawat, faktor yang memengaruhi, intervensi, pelatihan, teori Watson. Abstract Caring behavior plays a direct role in improving the quality of care and patient satisfaction. Nurses’ caring behavior is influenced by various internal and external factors and can be enhanced through theory-based training. Therefore, a systematic review is needed to evaluate the factors that influence caring behavior and identify effective interventions.This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Article searches were performed through the databases Google Scholar, ProQuest, PubMed, ScienceDirect, and SpringerLink, covering the years 2018 to 2025. Keywords used included: "nurse caring behavior" AND "factors" OR "interventions" OR "training" OR "Watson's theory". A total of 11 articles met the inclusion criteria and were analyzed. The review findings indicate that nurses’ caring behavior is influenced by demographic factors (age, gender, work experience), personal characteristics (spirituality, ethical sensitivity), and environmental factors (work environment, workload, organizational support, and job satisfaction). Effective interventions include training based on Watson’s Theory of Human Caring, nursing ethics programs, emotional intelligence-based leadership training, and mentoring programs. In conclusion, these interventions have a significant positive impact on improving nurses’ caring behavior scores. Keywords: caring behavior, nurses, influencing factors, interventions, training, Watson’s theory.
Efektivitas Intervensi Personal Care terhadap Manajemen Diri Pasien Diabetes: Systematic literature review Siti Linda Ariska; Satriya Pranata; Siti Aisah; Tri Hartiti; Rahayu Astuti
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48854

Abstract

Latar belakang: Diabetes mellitus (DM) adalah penyakit kronis berupa gangguan metabolisme yang ditandai dengan peningkatan kadar gula darah di atas kisaran normal dan merupakan 10 penyebab kematian teratas di dunia. Perawatan mandiri (selfcare) merupakan sebuah tindakan mengupayakan orang lain untuk mengembangkan kemampuan yang dimiliki agar dikembangkan secara maksimal, sehingga seseorang dapat mempertahankan fungsi yang optimal. Metode: Systematic literature review menggunakan pendekatan PRISMA. Database yang digunakan yaitu google scholar, semantic scholar, pubmed, proquest dan sciencedirect terbatas publikasi 5 tahun terakhir yaitu tahun 2021-2025. Kata kunci yang digunakan dalam pencarian yaitu “edukasi” AND “manajemen diri” AND “diabetes”. Systematic review ini menggunakan 10 artikel yang sesuai dengan kriteria inklusi. Hasil: Dari 160 artikel, terpilih 10 artikel yang memenuhi kriteria inklusi. Hasil sintesis menunjukkan bahwa dari semua artikel yang ditinjau dalam penelitian ini semuanya menunjukkan adanya efektivitas personal care terhadap manajemen diri pasien diabetes, yang mana terjadi perubahan antara sebelum intervensi dan setelah intervensi. Kesimpulan: Intervensi personal care efektif dalam meningkatkan manajemen diri pasien diabetes Kata kunci: Personal care, Manajemen diri, Diabetes
Intervensi Edukasi Kesehatan Untuk Meningkatkan Pengetahuan, Sikap dan Praktik Pencegahan Penularan Tb : a Systematic Review Verawaty Taliki; Ernawati Ernawati; Tri Hartiti
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49351

Abstract

Penyakit tuberkulosis (TB) masih menjadi masalah kesehatan masyarakat global yang menimbulkan morbiditas dan mortalitas tinggi, termasuk di Indonesia. Penanganan TB tidak cukup hanya melalui intervensi medis, tetapi juga memerlukan strategi edukatif yang dapat meningkatkan pengetahuan, sikap positif, dan praktik hidup sehat di kalangan masyarakat. Intervensi edukasi kesehatan menjadi salah satu strategi yang berperan penting dalam upaya pengendalian TB. Tujuan dari studi ini adalah mengetahui pengaruh intervensi edukasi kesehatan terhadap pengetahuan sikap dan praktik pencegahan penularan TB. Studi ini merupakan systematic review yang diterapkan berdasarkan Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Database yang digunakan adalah Google Scholar, Proquest, Pubmed, Wiley online library, dan Sciene Direct dengan batas publikasi lima tahun terakhir (2020–2025). Kata kunci yang digunakan pada pencarian adalah “Health Education” AND “Knowledge, Attitudes And Practices” AND “Prevention TB Transmission”. 13 artikel yang memenuhi kriteria inklusi dianalisis dalam tinjauan ini. Hasil sintesis menunjukkan bahwa berbagai bentuk intervensi edukasi, baik tatap muka, digital, maupun berbasis komunitas, secara signifikan mampu meningkatkan pemahaman masyarakat tentang TB. Disimpulkan intervensi edukasi kesehatan terbukti efektif dalam meningkatkan KAP terhadap pencegahan penularan TB. Intervensi Edukasi perlu diintegrasikan ke dalam program nasional pengendalian TB secara berkelanjutan, dengan memperhatikan kearifan lokal dan kebutuhan spesifik tiap komunitas.
The Influence Of Animated Video “Dokter Gigi Kimi” On Improving Children’s Toothbrushing Skills Zalfa Alzena; Tri Hartiti; Hayyu Failasufa
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.306-312

Abstract

Dental and oral health problems are caused by a lack of individual understanding of dental and oral health. Efforts to prevent and care for teeth and mouth through health education, to change behavior into healthy behavior. This study aims to determine the effectiveness of the animated video Dentist Kimi’s animated Videos on toothbrushing practices. This type of research was Quasi Experimental, with a Single Group Interrupted Time-Series Design research design. The population in this study were class III students at SDN Tandang 04 Semarang aged 8-9 years, the sample in this study was 56 students. Data collection used questionnaires and observation sheets. The results of research on knowledge before education showed that the mean score (17.71) was smaller than after education (19.61) and the practice of brushing teeth before education had a mean score (11.55) which was smaller than the mean score on day 7 (14.295). , 14th day (17,091), and 21st day (19,622). Based on the results of the Paired Sample T-Test, there were differences in the mean values of knowledge and practice of brushing teeth before and after being given education for 21 days. The conclusion of this research is that education using animated video media is effective in increasing knowledge and practice of brushing teeth.
Determinant Factors of Nurse Job Satisfaction in Hospital Ward Dirgahayu Vega Amalia; Arief Yanto; Tri Hartiti; Vivi Yosafianti Pohan
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.2384

Abstract

An unmanaged nurse performance satisfaction could reduce productivity, motivation, organisational commitment, and performance, increasing absenteeism and work turnover. Nurse performance satisfaction could be affected by needs, aspirations, allowance, behaviour, income, leadership style, job, workload, work environment, facility, leadership, promotion, work partner, supervisor, productivity, work efficacy, policy, and work condition. This study aims to determine the factors related to Inpatient Ward Nurse Performance Satisfaction at KRMT Wongsonegoro Hospital. It is an associative quantitative study using a cross-sectional approach. The research subject was an hospital ward nurse with criteria such as practitioner nurse with a diploma, bachelor's, or professional degree with a minimum of a year of working experience. One hundred forty-eight respondents were chosen using proportionate simple random sampling. The research focuses on measuring determinant factors that affect nurses' performance satisfaction using analysis of multiple linear regression tests with a backward method. The research finding shows the determinant variable of nurse performance satisfaction are nurse perception toward the leadership of the chief nurse (X1), nurse perception toward work (X2), and nurse perception toward workload (X3). The variables show significant positive relationships that simultaneously affect nurse performance satisfaction (Y) at 83.3%. The dominant variable that affects nurse performance satisfaction (Y) is nurse perception toward work (X2). It is because the knowledge owned by nurse make them happy and positively impact their responsibility. The unity between knowledge, feeling, and responsibility signifies accomplished nurse work satisfaction.
The Effect of Website-Based Education on Knowledge, Attitude and Compliance with Consumption of Blood Supplement Tablets in Adolescent Girls: Systematic Review Hafidz Al Qodri; Tri Hartiti; Siti Aisah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5723

Abstract

Anemia is a significant global health issue, especially among adolescent girls, caused by insufficient iron intake needed for hemoglobin synthesis. This study aims to explore the impact of ePuskesmas-based detection methods and website-based EDUMA on knowledge and adherence to iron tablet consumption among adolescent girls in Indonesia, as an effort to reduce the prevalence of anemia. Method: This study employs a literature review methodology by searching scientific articles through Google Scholar, Proquest, and PubMed platforms. Inclusion criteria encompass quantitative and qualitative articles published between 2019-2024, focusing on the use of ePuskesmas and EDUMA to enhance knowledge and adherence to iron tablet consumption among adolescent girls. Results: Initial identification yielded 622 potential articles, from which 18 articles were selected after inclusion and exclusion criteria. These articles indicate that technology-based approaches, such as Android applications, web platforms, and adherence monitoring systems, are effective in improving knowledge and adherence of adolescent girls to iron tablet consumption. Conclusion: These findings affirm that the integration of information technology in healthcare systems, such as ePuskesmas and website-based EDUMA, can be an effective strategy to enhance understanding and adherence of adolescent girls to iron tablet consumption to address anemia.
Efektivitas Monitoring EWS Terintegrasi Berbasis Elektronik Terhadap Deteksi Risiko Mortality di RS Bendan Kota Pekalongan Himawati; Vivi Yosafianti Pohan; Tri Hartiti; Masrukhi; Yunie Armiyati
Bioscientist : Jurnal Ilmiah Biologi Vol. 13 No. 4 (2025): December
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v13i4.18115

Abstract

This study aimed to determine the effectiveness of an integrated electronic-based Early Warning Score (EWS), known as TeBar, compared with a paper-based EWS form in detecting mortality risk at Bendan Regional General Hospital, Pekalongan City. A quasi-experimental study with a pretest–posttest control group design was employed. The sample consisted of 60 inpatient ward nurses selected using purposive sampling. The inclusion criteria were staff nurses working in the Jlamprang and Truntum wards, while nurse managers and nurses on leave, permission, or ward transfer during the study period were excluded. The intervention involved monitoring patients using the electronic integrated EWS (TeBar) in the intervention group, whereas the control group used the conventional paper-based EWS form. Data were collected using web-based observation sheets. Statistical analysis was performed using the Wilcoxon Signed Rank Test and the Mann–Whitney U Test. The results showed that before implementing the electronic EWS, most mortality risk detections in the intervention group were inaccurate (80%); however, after implementation, all detections were accurate (100%). In the control group, mortality risk detection using the paper-based EWS remained largely inaccurate both before (66.7%) and after (60%) the intervention. The Wilcoxon test revealed a significant difference in mortality risk detection before and after the use of the electronic EWS (TeBar) in the intervention group (p = 0.000), whereas no significant difference was found in the control group using the paper-based EWS (p = 0.346). Furthermore, the Mann–Whitney U test indicated a significant effect of electronic EWS (TeBar) monitoring on mortality risk detection compared to the paper-based EWS (p = 0.000). In conclusion, the electronic EWS (TeBar) is effective in detecting early mortality risk in inpatient wards at Bendan Regional General Hospital, Pekalongan. The use of electronic EWS improves the accuracy of clinical documentation, accelerates clinical decision-making, and enhances patient safety as part of efforts to improve the quality of nursing care.
Effective Leadership Towards Patient Safety Management At Unimus Hospital Tri Hartiti; Arief Yanto; Hanik Zahro Nabila
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.352-360

Abstract

Patient safety management is a fundamental indicator of hospital quality and reflects the effectiveness of healthcare service delivery. Effective leadership plays a critical role in fostering a patient safety culture, minimizing risks, preventing adverse events, and improving the quality of nursing care. This study aimed to examine the relationship between effective leadership and patient safety management at Universitas Muhammadiyah Semarang Hospital. A quantitative cross-sectional study was conducted involving 50 nurses working at the hospital. Data were collected using structured questionnaires assessing perceptions of effective leadership and patient safety implementation. Descriptive statistics and Pearson Product-Moment correlation analysis were used to analyze the data. The findings revealed that most respondents were female (82%) and held a diploma in nursing (54%), while 46% had a professional nursing degree. The mean age of respondents was 26.97 ± 6.78 years, and the mean work experience was 1.98 ± 3.62 years. Nurses perceived leadership effectiveness at the hospital to be high, with a mean score of 103 ± 13.54. In terms of patient safety management, 84% of respondents demonstrated good implementation of patient safety practices. Statistical analysis showed a significant positive correlation between effective leadership and patient safety management (r = 0.457, p = 0.001), indicating that stronger leadership effectiveness was associated with better implementation of patient safety practices. In conclusion, effective leadership is significantly associated with improved patient safety management in hospital settings. Strengthening leadership capacity may contribute to the development of a stronger patient safety culture and enhance the quality of healthcare services.
Penerapan aromaterapi lavender pada pasien ansietas dengan penyakit kardiovaskular di rumah sakit Asri Agestina; Tri Hartiti; Vivi Yosafianti Pohan
Ners Muda Vol 7, No 2 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v7i2.20541

Abstract

Penyakit kardiovaskular sering disertai ansietas yang dapat memperburuk kondisi hemodinamik dan menghambat pemulihan subjek. Aromaterapi lavender dilaporkan memiliki efek ansiolitik melalui mekanisme pada sistem saraf pusat. Studi ini bertujuan mendeskripsikan penerapan aromaterapi lavender dan perubahan skor ansietas pada subjek dengan penyakit kardiovaskular di ruang ICCU. Studi kasus deskriptif melibatkan empat subjek yang memenuhi kriteria inklusi. Intervensi diberikan dua kali sehari selama tiga hari melalui inhalasi lavender 2 tetes selama 20 menit. Tingkat kecemasan diukur menggunakan Spielberger State-Trait Anxiety Inventory sebelum dan sesudah intervensi. Setelah rangkaian intervensi, seluruh subjek menunjukkan penurunan skor STAI Y-1 dari rentang 50-53 menjadi 43-44 dan STAI Y-2 dari rentang 46-49 menjadi 41-43. Temuan ini bersifat deskriptif karena studi tidak menggunakan kelompok pembanding. Pada empat kasus ini, pemberian aromaterapi lavender diikuti oleh penurunan skor STAI pada subjek kardiovaskular di ruang ICCU. Aromaterapi lavender dapat dipertimbangkan sebagai terapi komplementer pendamping dengan memperhatikan kondisi klinis, keamanan, preferensi subjek, dan terapi standar.
Co-Authors - Ernawati Abd. Rasyid Syamsuri Agus Santoso Ali Rosidi, SKM, M.Kes Amien Dyah Nawang Wulan Amin Samiasih Amin Samiasih Ani Margawati Anna Rohmawati ARIEF YANTO arief yanto, arief Arimbi Asri Agestina Baidhowy, Arief Shofyan Candra Dewi Rahayu, Candra Dewi Dera Alfiyanti Dianingsih, Ayu Dirgahayu Vega Amalia Dwi Suswanti Anggarini Edy Soesanto Eko Widya Retno Wahyu Indriani Eny Hidayati Ernawati - Ernawati Ernawati Ernawati Ernawati Ernawati Ernawati Failasufa, Hayyu Fajrin, Ela Faroby, Muhammad Athfal Ferdisa, Richa Jannet Fitria Wati Hafidz Al Qodri Hanik Zahro Nabila Hartono, Seno Herison, Ryschy Herry Setiawan Herry Setiawan Himawati IDRIS HADI Ike Puspitaningrum Kurniawati, Ayu Khuzaimah Kustiati, Etik Luky Dwiantoro Ma'arif, Syahrul Machmudah - Machmudah, Machmudah Madya Sulisno Madya Sulisno Mariyam Mariyam Masrukhi Muhamad Rofi’i Muhamad Rofi’i Muhammad Natsir Muhammad Zainova NH Nabila, Amelia Nur Wahyu Puspitasari Nurudin, Muhamad Pramana, Cipta Puteri, Fauzizah Rachmawati, Anita Rachmawati, Sheila Destika Rahayu Astuti Rahayu Astuti Ratih Haribi Reza Fahma Islami Ruhana, Ati Rusyda Sabrina Della V Sakinatina, Sintok Nabila Satriya Pranata Shaumayantika, Nila Shaumayantika, Nila Sheila Destika R Siswanto Siti Aisah Siti Linda Ariska Sri Darmawati SRI REJEKI Sri Rejeki Sulichan, Achmad Tri Nur Kristina Tri Nurhidayati Tri Nurhidayati Verawaty Taliki Vivi Yosafianti Pohan Vivi Yosafianti Pohan Wahyu Tri Fibrianingrum Yuliastanti, Kurnia Yundari, Yundari Yunie Armiyati Yunie Armiyati Zalfa Alzena Zulkifli Zakaria